Healthcare Provider Details

I. General information

NPI: 1407986466
Provider Name (Legal Business Name): RICHARD JULIAN NUNES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5222 PIRRONE CT STE 101A
SALIDA CA
95368-9072
US

IV. Provider business mailing address

5222 PIRRONE CT STE 101A
SALIDA CA
95368-9072
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax:
Mailing address:
  • Phone: 925-282-1778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA69781
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA69781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: